Transcript Slide 1

Integrating
Health in
Transport
Planning
02/10/13
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Integrating Health in Transport
Planning
• Introduction
• Transport Health Issue and
Oppertunity
• Health Impact Assessment
• HIA What, Why, How, When?
• Discussion
• Resources useful to you
Contents
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Awareness Training
• Share transferable knowledge
• Guidance v Practice
• Planning focussed HIA
• Best interface with regulatory
assessments
• Give you the opportunity to ask the
questions you normally wouldn't
• Point you to resources and networks
Objectives
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RPS is an international multi-disciplinary
consultancy providing advice on:
The development
of Land, property
and infrastructure
The management
of the
environment
The exploration
and production of
energy and other
natural resources
The health and
safety of people
Introduction
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Me:
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Health and Social Impact Assessment Practice
Leader for RPS and ERM
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13+ years HIA experience
PhD on HIA best practice and methods
MSc in EIA
BSc Biological Sciences
Fellow of the Royal Society Medicine
Trained by CEHI, PAHO and Health Canada
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Local Planning, DCO, National Policy,
international HIA experience
Introduction
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Me:
So what does this mean?
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Transferable knowledge
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Often the intermediary between public sector,
private sector and local communities to
facilitate the win win win
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Don’t hold back with the questions you
normally wouldn't ask
Introduction
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RPS HIA Experience
Energy
• EfW: Runcorn, Exeter, Rufford, Dublin,
Cheshire, Lostock, Norfolk, Suffolk, Tipperary,
Dubllin, Brig y Cwm, Arc21
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Biomass: Green Hills, Cardenden, Roosecote
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Gas: South Hook
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Windfarm and Grid: Eirgrid, Grid 25,
Tamnamore to Omagh Power Line, Hornsea,
Atlantic Array, Burbo Banks
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Nuclear: Oldbury, Hinkley, Sizewell
Introduction
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RPS HIA Experience
Waste
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WRAP EfW Guidance
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Wales, Durham and Buckinghamshire Waste
Strategies
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Brighton and Hove, East Sussex, and
Lancashire WMDF
Introduction
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RPS HIA Experience
Regeneration and Urban Expansion
Introduction
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Barton Seagrave, Cambourne, Brighton
General Hospital
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2012 London Olympic Games
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Kent Regeneration and Dartford Town Centre
Masterplan
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Aire Valley Leeds
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Brighton and Hove LDF, Local Plan and JAAP
Health Care Planning Contributions
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RPS HIA Experience
International
• ESHIAs in Sakhalin, Salym, Kazakhstan,
Algeria, Angola, Ghana, Mauritania, the Arctic
and Papua New Guinea.
Introduction
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RPS HIA Experience
Aviation
• Belfast City, London City, Birmingham and
Stansted
Common Factor:
Transport
• HIA of the Heads of the Valleys
Transport
• DoH and
DfT Transport and Health
Assessment Resource
• Issues
KIG Intermodal
Transfer Facility
& opportunities
• Crossrail
• London Low Emission Zone
• Edinburgh Airport Transport Link
• Tees Valley Metro
• UK Highways Agency
Introduction
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Transport and Health
Intrinsically linked
Transport
Issue and
Opportunity
Issues and opportunities
• access, accessibility and
community severance
• socio-economic health
• safety (risk of accident and
injury)
• quality of urban environment
(crime and perceptions of
crime)
• lifestyle
• air quality
• noise
It is now
recognised that
more health
conscious decision
making can not
only be applied to
tackle and offset
many of the
adverse health
effects of an urban
environment, but
can also be
applied to address
and prevent many
of today’s
significant
physical, mental
and social health
issues, and
ultimately foster
healthier and more
cohesive
communities.
RCEP
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Transport and Health Evidence Base
The key and repeating message from the available evidence
base is that transport has the opportunity to significantly
influence the health and wellbeing of communities by:
Transport
Issue and
Opportunity
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improving access and accessibility to income,
employment, housing, education, services, amenities,
facilities and social networks crucial to maintaining a
healthy vibrant and cohesive community
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influencing the quality of the urban environment (air
quality, noise, severance and risk of collision) with social,
mental and physical health outcomes
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influencing lifestyle and behaviour with opportunities to
either prevent or compound many of the todays core
economic, social, mental and physical health issues and
inequalities (and associated costs)
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Transport and Health Evidence Base
The development of more health conscious transport
planning is therefore not only critical to facilitating daily
tasks and driving sustainable employment, retail and
manufacturing sectors but overlaps with the delivery of
strategic health care planning and community support
initiatives
Health Impact
Assessment
the key health pathways
associated with the various
transport modes are overlapping, vary between the
commuter type and resident community groups and the
distribution, magnitude, likelihood and significance of
potential health outcomes are further influenced by
relative socio-economic status and age structure.
Transport
Issue and
Opportunity
Such complex interactions cannot be addressed through
a generic evidence base or design principles
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HIA:
A multidisciplinary process
designed to investigate the
potential health outcomes of a
project, policy or programme
Aim:
to ensure more joined up
approach to environment,
health and planning
Health conscious decision making
What is HIA?
Investigate and address
community concerns, perceptions
and needs through design
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Objectives:
• Identify potential impacts
• Maximise health gains
• Reduce or remove negative
impacts or inequalities
Why HIA?
Type
• Rapid – Comprehensive
• Retrospective, concurrent,
prospective
• Qualitative V Quantitative
Purpose?
What is HIA?
Multitude of HIA services
Appropriately
scoped HIA
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Growing Awareness: (prevention better
than cure)
International
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Health as a basic Human Right
Equator Principles, IFC Standards, best
practice
National Legislation
European and Worldwide Health Targets
Implied in EU Directive (EIA and SEA)
UK
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Why do HIA?
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Government health policy and White
Papers
Public Health England (HPA)
Core to sustainable development (SA, SEA)
Community awareness and involvement
Transparency
Voluntary (Healthy Cities Programme)
Regional requirement LDF, LAA, SPG, BPG
Failure of existing assessment regimes
to determine health outcome
It is now
recognised that
more health
conscious decision
making can not
only be applied to
tackle and offset
many of the
adverse health
effects of an urban
environment, but
can also be
applied to address
and prevent many
of today’s
significant
physical, mental
and social health
issues, and
ultimately foster
healthier and more
cohesive
communities.
RCEP
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Best Practice: (ethical)
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Why do HIA?
Reduces the likelihood of major health
issues
Enhances opportunities to improve health
Prevents and addresses inequalities
Promotes healthier, more cohesive and
sustainable communities
Alleviates community concern rapidly,
robustly and with confidence
Identifies areas where social investments
can be made and are most effective
DoH
PCT
PHO
HUDU
WHIASU
IPHI
IAIA
WHO
World
Bank (IFC)
CDC
AUS NZ
Pacific
Developers
HWB
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Risk Management: (Accountability)
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Why do HIA?
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Identifies and addresses potential
issues before they become a planning
and public issue
Pre-empts and limits external criticism
of a project
Can speed up the planning process
Balanced assessment (potential
impacts/benefits)
Aids in more effective and justified
community support initiatives
Retains project control (cost and
delivery)
Prevents conflict with regulatory
assessments
Separates perceived from actual risk
Cost effective
True of both
Private and Public
bodies:
‘Chief Executive of
Telford & Wrekin
PCT is responsible,
through her
negligence, for
more deaths than
Dr Harold Shipman’
Paper trail
establishing how
community health
was considered at
earliest onset
Justification for
decision making
Rationale for
mitigation /
contribution
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No right or wrong way
• No Statutory Requirement
• No certification, accreditation or curriculum
• Regional variations and requirements
• Assessment overlap
• Cost
• Guidance v best practice
• Steering groups
Different definitions, priorities and circumstance
• What is health?
• Assumption is the mother of all ……
• What's important to you may not be a priority
for others
• Barriers to benefit uptake
Health
Warning
Different terminology and expectations
• EIA, planners and developers = Risk
• Health practitioners = Health Promotion and
Care
• HIA = all of the above
S106 v healthy urban design
Legal and Planning Scrutiny
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How to do
HIA?
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Founding Principle: Health & Wellbeing
How to do
HIA?
Health determinants and health pathways
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Stakeholder Engagement
Screening
How to do
HIA?
Scoping
Community
Profile
Project
Profile
Evidence
Base
EIA
SEA
EqIA
ESHIA
Assessment
Health Action
Plan
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Stakeholder Engagement
Screening
How to do
HIA?
Scoping
Screening & Scoping
Community
Project
Profile
Profile
• Is a HIA required?
Evidence
Base
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What are its objectives?
What should it focus on?
What shouldn’t it focus on?
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What do you want out of it?
EIA
SEA
EqIA
ESHIA
Assessment
Health Action
Plan
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Stakeholder Engagement
Screening
Task
Scoping
Community
Profile
Project
Profile
Evidence
Base
EIA
SEA
EqIA
ESHIA
Assessment
Health Action
Plan
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Screening and Scoping
Objective: quick and dirty HIA
• Identify potential health pathways (risk
and benefits)
• Identify sensitive communities (impacts
and benefits)
• Determine if a HIA is necessary /
beneficial
• Set the objectives of the study
Consider
• local community circumstance and needs?
• what are the potential health issues and
opportunities?
• will sensitive communities or groups be
influenced differently?
• who are they?
• what are they sensitive to (income,
employment, education, lifestyle,
environment etc)?
• is there a risk of widening inequality?
• what are the community concerns /
perceived risks?
• are there any potential barriers to benefit
uptake?
More Questions than Answers
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Discussion
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Transport and Health Resource:
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/21
5815/dh_123629.pdf
Wider HIA Resources and Networks
UK HIA Gateway
www.apho.org.uk/default.aspx?QN=P_HIA
Welsh HIA Support Unit
www.wales.nhs.uk/sites3/home.cfm?OrgID=522
Ireland
www.publichealth.ie/hia
Scotland www.healthscotland.com/resources/networks/shian.aspx
London
www.londonshealth.gov.uk/hia.htm
Health Urban Development Unit
www.healthyurbandevelopment.nhs.uk/
HIA Blog
www.healthimpactassessment.blogspot.com/
HIANET www.jiscmail.ac.uk/cgi-bin/webadmin?A0=HIANET
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Only an introduction to HIA
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What else would you like to know?
 What case studies would you be interested in?
 What areas would you like more info on?
Q&A
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Dr Andrew Buroni: HIA
Associate
[email protected]
Daniel Smyth: Air Quality
Senior Director
[email protected]
Tel: +44 (0) 1273 546 800
Close
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